NPI | 1780784652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ME 131091) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME 63999) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2013-11-05 |